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NCT02942160

EN3835 for the Treatment of Edematous Fibrosclerotic Panniculopathy (Commonly Known as Cellulite)

Completed Phase 2 Results posted Last updated 24 November 2020
What this trial tests

Phase 2 trial testing Collagenase Clostridium Histolyticum in Edematous Fibrosclerotic Panniculopathy in 259 participants. Completed in 14 June 2018.

Timeline
5 October 2016
Primary endpoint
14 June 2018
14 June 2018

Quick facts

Lead sponsorEndo Pharmaceuticals
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment259
Start date5 October 2016
Primary completion14 June 2018
Estimated completion14 June 2018
Sites15 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Endo Pharmaceuticals — full company profile →

Who can join

18 and older, female only, with Edematous Fibrosclerotic Panniculopathy or Cellulite. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants That Were 2-level Composite (CR-PCSS and PR-PCSS) Responders During the Observation Phase Primary · Day 180 to Day 360

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A 2-level composite responder is a participant that received EN3835 with a reduction (decrease in score) in severity of at least 2-levels from baseline on both the CR-PCSS and the PR-PCSS at a particular visit. Observation Phase is defined as the time period from Screening to the first treatment date of the same treatment area in Study EN3835-202, or the end of Study EN3835-202 if there was no treatm

Observation Visit Day 180
GroupValue95% CI
EN3835 Treatment Regions19
EN3835 Treatment Regions0
Observation Visit Day 360
GroupValue95% CI
EN3835 Treatment Regions16
EN3835 Treatment Regions0
Number of Participants That Were 1-level Composite (CR-PCSS and PR-PCSS) Responders During the Observation Phase Secondary · Day 180 to Day 360

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A 1-level composite responder is a participant that received EN3835 with a reduction (decrease in score) in severity of at least 1-level from baseline on both the PR-PCSS and the CR-PCSS at a particular visit. Observation Phase is defined as the time period from Screening to the first treatment date of the same treatment area in Study EN3835-202, or the end of Study EN3835-202 if there was no treatmen

Observation Durability Visit Day 180
GroupValue95% CI
EN3835 Treatment Regions50
EN3835 Treatment Regions3
Observation Durability Visit Day 360
GroupValue95% CI
EN3835 Treatment Regions43
EN3835 Treatment Regions2
Number of Participants That Were 2-level Composite (CR-PCSS and PR-PCSS) Responders During the Long-term Durability Phase Secondary · Day 540 to Day 720

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A 2-level composite responder is a participant that received EN3835 with a reduction (decrease in score) in severity of at least 2-levels from baseline on both the CR-PCSS and the PR-PCSS at a particular visit. Long-term Durability Phase is defined as all participants in the Overall Durability Population who showed an improvement on Day 71 of at least 1-level on each scale (CR-PCSS and PR-PCSS) from b

Long-term Durability Visit Day 540
GroupValue95% CI
EN3835 Treatment Regions7
EN3835 Treatment Regions0
Long-term Durability Visit Day 720
GroupValue95% CI
EN3835 Treatment Regions7
EN3835 Treatment Regions0
Number of Participants That Were 1-level Composite (CR-PCSS and PR-PCSS) Responders During the Long-term Durability Phase Secondary · Day 540 to Day 720

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A 1-level composite responder is a participant who received EN3835 with a reduction (decrease in score) in severity of at least 1-level from baseline on both the PR-PCSS and the CR-PCSS at a particular visit. Long-term Durability Phase is defined as all participants in the Overall Durability Population who showed an improvement on Day 71 of at least 1-level on each scale (CR-PCSS and PR-PCSS) from bas

Long-term Durability Visit Day 540
GroupValue95% CI
EN3835 Treatment Regions22
EN3835 Treatment Regions1
Long-term Durability Visit Day 720
GroupValue95% CI
EN3835 Treatment Regions21
EN3835 Treatment Regions2
CR-PCSS Change From Baseline (in EN3835-201 Study) by Visit During the Observation Phase Secondary · Baseline (in EN3835-201 Study) to Observation Day 360

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A negative change from baseline indicates an improvement in cellulite severity. Observation Phase is defined as the time period from Screening to the first treatment date of the same treatment area in Study EN3835-202, or the end of Study EN3835-202 if there was no treatment received for the same treatment area in Study EN3835-202.

Change from Baseline on Day 71 (EN3835-201 Study)
GroupValue95% CI
EN3835 0.84 mg-0.8± 0.88
Placebo-0.3± 0.60
Change from Baseline-Observation Visit Day 180
GroupValue95% CI
EN3835 0.84 mg-0.6± 0.80
Placebo-0.2± 0.67
Change from Baseline-Observation Visit Day 270
GroupValue95% CI
EN3835 0.84 mg-0.6± 0.76
Placebo-0.1± 0.63
Change from Baseline-Observation Visit Day 360
GroupValue95% CI
EN3835 0.84 mg-0.9± 0.86
Placebo-0.5± 0.83
CR-PCSS Change From Baseline (BL) by Visit During the Treatment Phase for Participants With a Second EN3835 Treatment Secondary · Day 22 to Day 360

Clinician-Reported Photonumeric Cellulite Severity Scale (CR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A decrease in the CR-PCSS score from baseline indicates an improvement in cellulite severity. Treatment phase is defined as the time period from the second EN3835 treatment date to the end of Study EN3835-202. One hundred sixty-two participants received a second treatment course Study EN3835-202 and were included in the Effectiveness Population. This retreated/redosed treatment group comprised 87 participants that received their second treatment course of EN3835 in Stu

Change from Baseline (BL) to Treatment Day 22
GroupValue95% CI
EN3835 Treatment Regions-0.6± 0.68
Change from Baseline (BL) to Treatment Day 43
GroupValue95% CI
EN3835 Treatment Regions-0.8± 0.71
Change from Baseline (BL) to Treatment Day 71
GroupValue95% CI
EN3835 Treatment Regions-1.0± 0.79
Change from BL to Treatment Observation Day 180
GroupValue95% CI
EN3835 Treatment Regions-1.0± 0.80
Change from BL to Treatment Observation Day 360
GroupValue95% CI
EN3835 Treatment Regions-0.9± 0.77
PR-PCSS Change From Baseline by Visit in Treatment Phase for Participants With Second EN3835 Treatment Secondary · Day 22 to Day 360

Patient-Reported Photonumeric Cellulite Severity Scale (PR-PCSS) is a 5-level scale ranging from "0" (None) to "4" (Severe). A decrease in the PR-PCSS score from baseline indicates an improvement in cellulite severity. Treatment phase is defined as the time period from the second EN3835 treatment date to the end of Study EN3835-202. One hundred sixty-two participants received a second treatment course in this study and were included in the Effectiveness Population. This retreated/redosed treatment group comprised 87 participants that received their second treatment course of EN3835 in Study EN

Change from Baseline (BL) to Treatment Day 22
GroupValue95% CI
EN3835 Treatment Regions-0.5± 0.64
Change from Baseline (BL) to Treatment Day 43
GroupValue95% CI
EN3835 Treatment Regions-0.8± 0.75
Change from Baseline (BL) to Treatment Day 71
GroupValue95% CI
EN3835 Treatment Regions-1.1± 0.82
Change from BL to Treatment Observation Day 180
GroupValue95% CI
EN3835 Treatment Regions-1.0± 0.83
Change from BL to Treatment Observation Day 360
GroupValue95% CI
EN3835 Treatment Regions-1.0± 0.83
Change From Baseline on the Hexsel CSS Total Score During the Observation Phase Secondary · Baseline (in EN3835-201 Study) to Day 360

The Hexsel Cellulite Severity Scale (CSS) is a photonumeric scale that evaluates 5 key morphologic features of cellulite: (A) number of evident depressions, (B) depth of depressions, (C) morphological appearance of skin surface alterations, (D) laxity, flaccidity or sagging of skin, and (E) current classification scale based on medical literature. Each of these features is evaluated on a 4-point scale from a low of "0" to a high of "3", with higher scores signifying more severe cellulite. The Hexcel CSS total score is the sum of all 5 features and can range from "0" (no cellulite) to "15" (ext

Baseline Point (in EN3835-201 Study)
GroupValue95% CI
EN3835 0.84 mg10.7± 1.32
Placebo10.4± 1.41
Day 71 Reference Point (in EN3835 Study)
GroupValue95% CI
EN3835 0.84 mg9.0± 2.42
Placebo9.7± 2.20
Change from Baseline (Day 71)
GroupValue95% CI
EN3835 0.84 mg-1.8± 2.22
Placebo-0.8± 1.81
Observation Visit Day 360
GroupValue95% CI
EN3835 0.84 mg8.6± 2.40
Placebo9.5± 1.35
Change from Baseline (Day 360)
GroupValue95% CI
EN3835 0.84 mg-2.2± 2.34
Placebo-1.2± 1.47
Change From Baseline (BL) in the Hexsel CSS Total Score During Long-term Durability Visits Secondary · Day 540 to Day 720

The Hexsel Cellulite Severity Scale (CSS) is a photonumeric scale that evaluates 5 key morphologic features of cellulite: (A) number of evident depressions, (B) depth of depressions, (C) morphological appearance of skin surface alterations, (D) laxity, flaccidity or sagging of skin, and (E) current classification scale based on medical literature. Each of these features is evaluated on a 4-point scale from a low of "0" to a high of "3", with higher scores indicating more severe cellulite. The total score is a summation of all 5 features and can range from "0" (no cellulite) to "15" (extremely

Baseline (in EN3835-201 Study)
GroupValue95% CI
EN3835 Treatment Regions10.6± 1.43
Long-term Durability Visit Day 540-Change from BL
GroupValue95% CI
EN3835 Treatment Regions-3.5± 1.76
Long-term Durability Visit Day 720-Change from BL
GroupValue95% CI
EN3835 Treatment Regions-2.9± 1.74
Change From Baseline in Hexsel CSS Total Score in Treatment Phase for Participants With Second EN3835 Treatment Secondary · Baseline - Day 360

The Hexsel Cellulite Severity Scale (CSS) is a photonumeric scale that evaluates 5 key morphologic features of cellulite: (A) number of evident depressions, (B) depth of depressions, (C) morphological appearance of skin surface alterations, (D) laxity, flaccidity or sagging of skin, and (E) current classification scale based on medical literature. Each of these features is evaluated on a 4-point scale from a low of "0" to a high of "3". The total score is a summation of all 5 features and can range from "0" (no cellulite) to "15" (extremely severe cellulite) and is designated in this study as

Second EN3835 Treatment: Baseline
GroupValue95% CI
EN3835 Treatment Regions10.5± 1.44
Second EN3835 Treatment: Day 71
GroupValue95% CI
EN3835 Treatment Regions8.3± 2.41
Second EN3835 Treatment: Change from Baseline
GroupValue95% CI
EN3835 Treatment Regions-2.2± 2.32
Second EN3835: Treatment Observation Day 360
GroupValue95% CI
EN3835 Treatment Regions8.1± 2.51
Second EN3835: Change from Baseline
GroupValue95% CI
EN3835 Treatment Regions-2.4± 2.37
Investigator Global Aesthetic Improvement Scale (I-GAIS) at Observation Visit Day 360 During the Observation Phase Secondary · Day 360

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point numeric scale that evaluates the improvement of the treated treatment area in global aesthetics. The scale ranges from "+3" (Very much improved) to "-3" (Very much worse), an increase in the I-GAIS scores indicates an improvement in Global Aesthetic Score. Percentages are based on the number of all evaluable subjects at each visit. Observation Phase is defined as the time period from Screening to the first treatment date of the same treatment area in Study EN3835-202, or the end of Study EN3835-202 if there was no treatment

Very Much Improved (3)
GroupValue95% CI
EN3835 0.84 mg4
Placebo0
Much Improved (2)
GroupValue95% CI
EN3835 0.84 mg23
Placebo0
Improved (1)
GroupValue95% CI
EN3835 0.84 mg36
Placebo4
No Change (0)
GroupValue95% CI
EN3835 0.84 mg32
Placebo14
Worse (-1)
GroupValue95% CI
EN3835 0.84 mg2
Placebo1
Much Worse (-2)
GroupValue95% CI
EN3835 0.84 mg0
Placebo0
Very Much Worse (-3)
GroupValue95% CI
EN3835 0.84 mg0
Placebo0
Investigator Global Aesthetic Improvement Scale (I-GAIS) in Treatment Phase for Participants With Second EN3835 Treatment Secondary · Day 71 - Day 360

Investigator Global Aesthetic Improvement Scale (I-GAIS) is a 7-point numeric scale that evaluates the improvement of the treated treatment area in global aesthetics. The scale ranges from "+3" (Very much improved) to "-3" (Very much worse), an increase in the I-GAIS indicates an improvement in global aesthetics. Percentages are based on the number of all evaluable participants at each visit. One hundred sixty-two participants received a second treatment course in this study and were included in the Effectiveness Population. This retreated/dosed treatment group comprised 87 participants that r

Second EN3835 Treatment: Treatment Day 71
GroupValue95% CI
EN3835 Treatment Regions10
EN3835 Treatment Regions38
EN3835 Treatment Regions73
EN3835 Treatment Regions35
Second EN3835 Tx: Treatment Observation Day 360
GroupValue95% CI
EN3835 Treatment Regions5
EN3835 Treatment Regions33
EN3835 Treatment Regions64
EN3835 Treatment Regions31

Adverse events — posted to ClinicalTrials.gov

Time frame: All (serious or nonserious) AEs, from Day 1 up to Day 720 (720 days after first exposure to study drug in predecessor study EN3835-201). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Observation Phase
Serious: 1/259 (0%)
Deaths: 0/259
EN3835 Treatment Phase
Serious: 4/200 (2%)
Deaths: 1/200

Serious adverse events (5 terms)

ReactionSystemObservation PhaseEN3835 Treatment Phase
AppendicitisInfections and infestations
Breast CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Spontaneous MiscarriagePregnancy, puerperium and perinatal conditions
Hypertensive UrgencyVascular disorders
Death from Motor Vehicle AccidentInjury, poisoning and procedural complications
Other adverse events (7 terms — click to expand)

ReactionSystemObservation PhaseEN3835 Treatment Phase
Injection site bruisingGeneral disorders
Injection site painGeneral disorders
Injection site noduleGeneral disorders
Injection site pruritusGeneral disorders
Injection site swellingGeneral disorders
Injection site discolourationGeneral disorders
Upper respiratory tract infectionInfections and infestations

Most-reported serious reactions: Appendicitis, Breast Cancer, Spontaneous Miscarriage, Hypertensive Urgency, Death from Motor Vehicle Accident.

Data from ClinicalTrials.gov NCT02942160 adverse events section.

Sponsor's own description

A Phase 2, Open-Label Extension Study of EN3835 in the Treatment of Edematous Fibrosclerotic Panniculopathy (commonly known as Cellulite).

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Collagenase Clostridium Histolyticum-aaes for the Treatment of Cellulite in Women: Results From Two Phase 3 Randomized, Placebo-Controlled Trials.
    Kaufman-Janette J, Joseph JH, Kaminer MS, Clark J, et al · · 2021 · cited 26× · PMID 33840781 · DOI 10.1097/dss.0000000000002952
  2. Efficacy, Safety, and Durability of Response of Collagenase Clostridium Histolyticum-aaes for Treating Cellulite.
    Kaufman-Janette JA, Bass LS, Xiang Q, McLane MP, et al · · 2020 · cited 11× · PMID 33425621 · DOI 10.1097/gox.0000000000003316
  3. Selected Poster Abstracts from MauiDerm 2019 for Dermatologists
    · 2019

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing